Organization Active NPI

RX America

  • Long Term Care Pharmacy
  • Redwood City, CA
National Provider Identifier
1790066348
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
53894 Issued in CA
Legal business name
RX AMERICA
Practice address
11 Berkshire Ave
Redwood City, CA 94063-3632
Phone
(650) 216-9800
Fax
(650) 216-9805
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemarie Veridiano
Title
Pic
Phone
(650) 580-2983

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 53894 CA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

11 Berkshire Ave
Redwood City, CA 94063-3632

Mailing address

11 Berkshire Ave
Redwood City, CA 94063-3632
Phone (650) 216-9800

Other identifiers 1

IdentifierTypeStateIssuer
2138317OtherPK

Other names 1

  • Berkshire Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223002029 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1759516727 Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Locations

11 Berkshire Ave
Redwood City, CA 94063
Phone (650) 216-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1790066348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633632",
            "telephone_number": "650-216-9800",
            "fax_number": "650-216-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633632",
            "telephone_number": "650-216-9800",
            "fax_number": "650-216-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "VERIDIANO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "650-580-2983"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "53894",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkshire Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.